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Piles Treatment

Piles surgery, also known as hemorrhoidectomy, is a procedure performed to surgically remove hemorrhoids that are causing significant symptoms and do not respond to other conservative treatments. It's typically considered when hemorrhoids are large, prolapsed (protruding outside the anus), thrombosed (containing blood clots), or causing persistent bleeding, pain, or discomfort.

The surgery involves cutting out the hemorrhoidal tissue and is usually performed under general anesthesia. There are different techniques for performing a hemorrhoidectomy, including:

  • Traditional hemorrhoidectomy: This involves excising the hemorrhoidal tissue using a scalpel or electrocautery device. The procedure may be performed as an open surgery or with the use of a specialized surgical stapler.
  • Stapled hemorrhoidopexy (PPH): Also known as procedure for prolapse and hemorrhoids, this technique involves using a circular stapling device to remove excess tissue and reposition the remaining hemorrhoidal tissue back into its normal position within the anal canal.
  • Transanal hemorrhoidal dearterialization (THD): In this minimally invasive procedure, Doppler ultrasound is used to locate and ligate the blood vessels supplying the hemorrhoids, reducing blood flow and causing the hemorrhoids to shrink.

After the surgery, patients may experience some pain, discomfort, and swelling in the anal area. Pain medications, stool softeners, and sitz baths (soaking the anal area in warm water) are typically recommended to help manage symptoms and promote healing.

Recovery time varies depending on the type and extent of the surgery, but most patients can return to normal activities within a week to ten days. However, it may take several weeks for full recovery.

As with any surgery, there are risks associated with hemorrhoidectomy, including bleeding, infection, urinary retention, and recurrence of hemorrhoids. Therefore, it's essential to discuss the potential benefits and risks of surgery with a qualified healthcare professional and to follow post-operative instructions carefully to optimize outcomes and minimize complications.